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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011858 <br /> DATE RECEIVED by EHD: July 11,2018 APPL#: PA-1800162 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2691 <br /> GP AMENDMENT 10+acres(GP) <br /> COMPLETE & SUBMIT BY: <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 20500 S HOLLY DR, TRACY APN : 21216020 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: y 47f- Public Sewer: AVb/�� <br /> Name of Purveyor t Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval ❑ Denial ❑ Continuance El Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS:: / , /- <br /> _ <br /> �l <br /> f521/L <br /> 14111-N T lS DUC,�T/tA/ !5 Sid o 79/S 7 <br /> {� •DfL�Ji/�U.St�Y �IC,�Ml�GI� (/.u�12 SL'ob 77 3 r3 7� <br /> SUPERVISOR/LEAD SENIOR Approval: Date 7zL� <br /> OA11 Ch k ff ti : Proofread Report? Correct LAND USE 4 9- <br /> Correct CONDITION(S)? Logged in LAND USF Book? <br /> EH 06 06 Report 47201 July 11,2018 <br />